D Intense pain in the teeth. It could be pulpitis?

A pain referred to the teeth, very intense without being able to distinguish the element responsible, is typical of a pulpitis. The accurate diagnosis and localization of the tooth will be the responsibility of the dentist expert in Endodontics, which is good to consult as soon as possible for a quick resolution of the pain and to prevent further complications such as an abscess (swelling, pain, fever). The teeth are the structures more mineralized and hard of our body, but in them there is a hollow space in which is located the dental pulp (the so-called nerve) that extends for the entire length of the roots. The pulp is rich of blood vessels that feed it, keeping sensitive and vital, but when deep infection ( caries, trauma ) reaches, inflammation compresses the space in his inextensible causing the typical pain of pulpitis. The pain, continuous and non-localized, can increase in intensity with hot drinks and fall with those cold and pronounced in the extended position. The therapy is a endodontic treatment (root canal therapy or, also known as root canal treatment).

II The dentist told me that I have to do aganin the root canal of a tooth already treated ten years ago. But I have never had any problem... why do I have to do it again?

There is no need to retract a tooth endodontically if there is no pain, internal infection, or if the radiograph shows no lesions.
Even in the absence of pain, however, it is possible that a tooth has already undergone root canal therapy presents an infection inside the bone to cause a lesion around the root. This injury, rather common, is the granuloma. It's not a tumor, but an inflammatory reaction of the body to stem the spread of the infection. In radiography it is presented as a dark halo around the terminal part of the root.

These chronic lesions may be caused by a root canal incomplete (no cleaning and filling of the channels along their entire length), or from an old reconstruction of the tooth that over time has left infiltrate microorganisms inside. Often they remain silent for many years, sometimes reaching considerable size at the expense of the bone support of the tooth. They may flare up occasionally with abscess (pain and swelling), which finally results in the loss of the tooth. The therapy is a new root canal treatment (retreatment ) that can achieve the goals missed from the first.

III My new dentist for a root canal and filling teeth using a piece of rubber attached to the tooth. It is a new procedure?

It's called a rubber dam, which was introduced in dentistry since the end of the 800. It allows to isolate the tooth or teeth to treat oral environment, in order to work in a dry space from saliva by saliva and with a better accessibility, without the interference of the tongue and lips. During endodontic therapy or a filling is practically indispensable to prevent contamination of the interior surfaces of the teeth or that it is trying to clean, disinfect and obturate. Thanks to the rubber dam all the liquid disinfectants, all the materials and tools used by the dentist can not be accidentally ingested or inhaled by the patient. With the dam applied the patient calms down much more easily, as they no longer make an effort not to interfere with the tongue and lips or swallowing, and the dentist can focus more on the intervention. It is always considered as one of the most important procedures to be applied to improve the quality and success of both the endodontic treatment, both of the interventions shutter / dental reconstruction.

D Is it always necessary to "encapsulate" a dead tooth?

 Not always. It is a commonplace that the prosthetic crown (often called capsule to the wrap-around) in any case serves to strengthen the devitalized tooth.
The choice whether to cover a tooth with an artificial crown must stem from a careful evaluation of many aspects, such as the quantity and quality of remaining tooth and the tooth type in question (for example, whether it is an incisor or a molar) .
An endodontically treated tooth is in any case weaker than an intact tooth and a crown, or a suitable reconstruction/inlay that covers and protects by " encircling " the tooth, distributing loads properly, it is most often recommended for posterior teeth.

V I want to know if it's worth saving a tooth or nothing happens if I stay with a blank space

 The loss of a tooth should always be treated and also in a short time; in addition to the obvious problems of chewing, the empty space causes the progressive displacement of the other teeth. The antagonist tooth tends to go down (or to "go up") into the empty space and the adjacent teeth to tilt and move with irreversible loss of buoyancy more stable and functional teeth. The replacement of missing elements can be realized with fixed prostheses, namely a "bridge" to rest on the teeth next to the empty space, or resorting to implantology, or still with a removable denture.

C What is a periodontal pocket?

The periodontal pocket is a space between the tooth and gum formed after the destruction of the tooth surrounding tissues (gum and bone). The dentist, through the use of a periodontal probe, is able to highlight the presence and depth.

C How does the tartar form?

Bacterial plaque, if not removed from the tooth surface, can lead to calcification by precipitation of calcium salts and phosphates in saliva.

C What is tartar removal?

The tartar removal occurs using hand instruments and ultrasonic from all tooth.

P Why the teeth can become sensitive? What to do in this case?

The teeth may become sensitive for several reasons; the most common are dental caries and periodontal disease.
In case of sensitivity of the teeth is recommended to go to your dentist for an evaluation of the possible causes and its treatment.

A What is dental floss for?

The floss is useful to remove the bacterial plaque that accumulates between teeth.

III Does the smoke has any harmful effect on the health of teeth and gums?

The smoke makes more dangerous the periodontal disease leading to tooth loss. Smoke stains ease the accumulation of bacterial plaque around the teeth.

P Why do gums bleed?

The gums bleed because, as a result of an accumulation of bacterial plaque, cause gum inflammation.
The tissues, when stimulated mechanically (brushing), show the bleeding.

C What is bruxism?

 Bruxism is the habit of clenching, teeth grinding or tighten. This activity is present mainly during sleep, even unconsciously, and especially during times of increased stress or strain. In some cases it may also be present during the day, making its treatment more difficult.
It is an activity "parafunctional" because it does not fall into the "function" of his mouth, like other habits that are part of everyday life: chewing gum chewing, nail biting, biting her lip, biting pens or pencils. Most people are not even aware of these habits, yet they can cause considerable damage to various structures of the body.
The structures involved are: teeth , supporting tissue of the teeth (the bone of the jaws and gums), the muscles of mastication and the temporomandibular joints.
Grinding your teeth, as make them crawl or rub against each other, leads to a significant teeth usure, which later on are wore out.

The solicitation that the movements of bruxism procure on the teeth, it is transmitted to their support structures, that is the bone of the jaw (where the teeth are "accommodated" ), and the gums. Bruxism stresses out masticatory muscles not giving them time to relax. In fact, the muscles of mastication should be active for approximately 1 to 2 hours per day chewing food during meals, as well as a minimum activity during the rest of the day to talk and swallow. For the rest they should have the opportunity to rest.

If a person suffers from bruxism, muscles are activated all the time, especially during the night, when they should rest, and, like any other muscle in the body, they become fatigued and sore. This fatigue can also be extended to the muscles of the neck and shoulders, giving rise to forms of headache especially on waking.
The forces that is developed in the episodes of bruxism discharge even on the temporomandibular joints that can become inflamed and painful. Otherwise they can lead to dislocation of the articular disc with consequent malfunctioning as pop joint movements of opening and closing of the mouth, deviations or limitation of mouth opening .

Obviously it is not possible to consciously control nocturnal bruxism, because it occurs while we sleep. But you can use a bite, that is a removable device that fits in transparent resin on the teeth, usually upper, and reduces the effects of bruxism. Interposing themselves to the teeth, it prevents usure and stress on the supporting tissues of the teeth.
Using bite it is also possible to change the position of the jaw, if this is altered, enhancing the activity of the muscles, and the connection between the structures of the temporomandibular joints.